welcome to the organic green doctor blog

i am a family physician who was diagnosed with
early mild cognitive impairment(mci) amnestic type on december 21, 2010
this is a precursor to alzheimers disease
because of this diagnosis i have opted to stop practicing medicine
this blog will be about my journey with this disease
please feel free to follow me along this path
i will continue blogging on organic gardening, green living,
solar power, rainwater collection, and healthy living
i will blog on these plus other things noted to be interesting

Showing posts with label skin cancer. Show all posts
Showing posts with label skin cancer. Show all posts

Friday, September 8, 2017

alzheimers news-it could be worse

ALZHEIMERS NEWS-IT COULD BE WORSE
Image result for organicgreendoctor
my wife she and i were talking this week
during our drive back from ucla
where i received my 7th infusion
of biogen aducanumab that could if it works
slow down the disease or prevent it from advancing

i had a lot of time to myself that day
sitting in the infusion room
watching that stuff
drip slowly into my vein

i thought
about my brother who died with the disease
about
my mom who died with the disease
what if this stuff had been available for them
would it have made a difference
why did this stuff show up now 10 years too late
for them
maybe even 10 years too late for me
time will tell

i thought about my friend who died with huntingtons
since i was diagnosed
here i am
writing driving volunteering enjoying my family
enjoying the beauty of this area
and
he is gone

i thought about classmates who are no longer with us
having died from heart attacks strokes cancer other diseases
interesting is i never see alzheimers as the reason they die
here i am
still enjoying things after 7 years
they are gone
i really thought about an acquaintance who just had
surgery at ucla this day for a metastatic skin lesion
from the head to the neck
after my infusion i went up to visit him
thinking
here i am sitting here
all healthy and feeling good
then
there he is with bandages all over and a drain tube hanging
out his neck
he is all in good spirits
having a bright outlook on things
making you feel good
seeing him after all he had done that day
seeing him in such good spirits
his prognosis just got better it seems

so i sat there thinking
you know
like him
i have a bright outlook on things
i am happy with where i am at
i realize that i am lucky
to have been there that day
to get my infusion meet the neurologist
knowing that i am all maxed out on what i can do
like he is

my long term prognosis isnt good
if this stuff doesnt work
but that could be several years away

so
i sat there thinking
i am one lucky guy

there is some hope for him and for me
for the future

Alzheimer's Texas Logo

the williamson county alzheimers texas walk is at the san gabriel
park in georgetown texas on saturday september 23rd
my wife she and i will be there for the walk

here is the link to the walk
here is the link to my team organicgreendoctor

please donate and or walk with us that day

we will also be doing the walk to end alzheimers in santa barbara
on saturday october 28th at the fess parker doubletree resort
here is the link to the walk
here is the link to my team organicgreendoctor.com

we need your support
to find a cure

the organicgreen doctor

Thursday, August 18, 2011

post cut, the exam, planking doctor

POST CUT
survived the dermatology visit
wasnt too bad
a freeze here and a needle there with a swift swipe of
a razor blade and that ole skin cancer is gone

(my wife she got woozy again when i told her about this
hope she doesnt read this and get fainty again)

now back to those preventative measures
good sun screen
floppy hat to cover face and neck
long sleeve shirts
keep that beard
avoid the heat of the day when the sun rays are the
strongest
not a problem this summer for me
its too dang hot
watch for any new lesions cropping up
if they do get them zapped

dermatologists will always have business wont they

THE EXAM
the hardest part of all of these evaluations i have had and will
have in the future is not the mris or pet scans or the blood
draws or even the spinal tap
its the neuropsychological exams
ive had 4 now in the last year
its like taking an exam where no one can get a hundred
then the parts of the exam on short term memory frustrates me
as it reminds me that yes you do have a problem even though
you arent always noticing it

well today have to get an 8 hour one required by my disability
insurance
they want an independent neuropsychological exam
before they make a decision on my case
(my policy was written so that if i cant do my job as a
family physician then i should be covered)

dont look forward to doing it today but know it has to be done
i get to do another one for the research study in 2 months
then i will get a long break without having to do them

PLANKING DOCTOR
here is the organicgreen doctor planking in his garden










the organicgreen doctor


Wednesday, August 17, 2011

fires, skin cancer, rash

FIRES
lately around here because of the heat and lack of rain fires
seem to be a daily or weekly occurrence
when i drove to dallas this week there were quite a lot of
areas that had burned around here

when we got back from our wedding journey this summer and
after we heard the story of the fire that burned the peoples
house we stayed at during the wedding we mowed a large area
around our house as a protective barrier
one cigarette onto our pastures would burn all my property
we have had several old hackberry trees die from the drought
also and these would burn easily

the fire would go fast and probably couldnt be stopped before
the fire departments got there
luckily my house sits on a 1 acre enclosed area inside the middle
of my property
we have kept the grass cut low this summer on this 1 acre
(we only cut it once since it was dry as it all went dormant
it is all native grasses)
the rest of the pastures have been allowed since we have been
here to go completely la naturale
i have planted native grasses also in bare spots over the last
few years
so 90% of my property would burn rapidly
this is what use to happen on the prairie before we all got here

near here a fire broke out this week and burned 15 homes and
displaced quite a lot of people
luckily the fire departments acted fast to contain the fire
a few days before a few miles away hundreds of acres were
burned and was eventually contained
luckily no loss of life occurred

what we need is an end to this drought
on a recent walk i stuck my walking stick (thanks jr for the stick)
into one of the cracks in the pasture and the stick went down
3 feet into the ground
that first rain we get will probably disappear down all those
holes

in my pastures there are patches of green stuff growing
everything else is brown and dormant
as i went to a grass seminar recently on native grasses i was
able to identify the grass-it was switchgrass which is a native
grass that is good to have on your property
it got there when i planted the seeds a few years ago
maybe it will spread since the others arent seeding this year

a new storm is brewing in the caribbean
maybe it will head this way and give us some rain
lets go h-------- storm

SKIN CANCER
today i pay the price of sun worshipping a lot during my lifetime
i have a lesion that has popped up on my left cheek that
appears to be an actinic keratosis (a pre cancerous lesion) that
grows from too much sun exposure
if it is this ak (actinic keratosis) it willl be frozen off and be gone

if it has developed further as i have neglected to have it taken care
of for a few months (doctors make bad patients)
then it may have developed into a squamous cell cancer which
will have to be surgically removed
or
it may be a basal cell cancer which is also treated surgically
once it is removed it rarely returns

the one you dont want to get is melanoma
here is a picture of what it may look like



see the brown areas around the edges with the black
areas in the middles
thats what a melanoma looks like
if you have one of this dont sit around and watch it grow
it can metastasise to anywhere in the body
if caught early it can be cured as cured as cancer is cured
if caught later it becomes more difficult to treat

why did i get this lesion on my face
i worship the sun
i have always been an outside person all my life
and have not been a good sun screen person until the
last several years
a lot of damage got done when i was younger that now im
paying for
there probably will be more that will show up as i get older

note: most of the melanomas ive seen in my career were
in young people in their 20s and 30s

so wear a wide brimmed hat
wear long sleeves when possible
use a good suncreen that doesnt sweat off
reapply sunscreen when needed during the day
avoid going outside the hottest times of the day
wear sunglasses
if you get a lesion get it checked
dont do like i did and wait awhile before you get it
taken care of

RASH
videomedicine is the way of the future assisted by skyping
texting and emailing

(i recently was a participant as a patient in a videomedicine project
of the university of texas medical center in dallas using it to do
long distance videoconferencing of a neuropsychological exam
this will be used to do assessments at isolated clinics miles
away from the university)

my wet suitcase sisterinlaw is in central america with her family
something always happens to her every summer when she goes
there
last time she got a bad staph infection in her foot from stepping
on coral or something when surfing
she eventually recovered but was miserable for days with fever
and pain

now this time she got a kidney infection and was running fever
this started the same day she got zapped by a sting ray on the
heel which caused a great amount of pain

after two days of the antibiotic she developed a rash and felt
miserable (again)
so she texted my wife she and later emailed me so i could get
a better history without having to read all that text jargon some
of which i couldnt understand
rsh rd swln fvr nd yur hlp
so i got a good history from her by email
we tried skyping but the connection was bad and i needed a
finer picture to look at
so she texted me a picture of a body part that appeared to be
a thigh
it was the rash that you commonly see in a reaction to antibiotics
she was told to stop the offending antibiotic
take benadryl every 8 hours until she could get into the doctor
in a few hours
and to drink extra fluids to help flush her kidneys well

so this is how we may all communicate to get health care in
the future

i didnt mind doing it for her as i owed her for the wet suitcase story

she eventually went to the er there and got a shot (probably a
steroid shot) and got a new prescription for a new antibiotics
24 hours later she felt much better

austin texas october 15, 2011



the organicgreen doctor